76 year old female who tripped and fell. Initially told she had sprained her ankle and given a boot with instructions to walk. When I saw her, the exam was concerning for possible foot fracture, a CT scan revealed a displaced lateral process fracture and cuboid fracture that extended into the joint.
When initial xrays do not correlate with the severity of the exam its prudent to obtain higher imaging studies.
She underwent operative fixation. At 1 year out she is doing well. She has developed some mild post traumatic arthritis but is very tolerable and does not impede her activities. For the mild arthritis we will fit her with a pair of custom orthotics.